CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

A midwife is assessing a client in labor by auscultating the fetal heart tone using the Doppler ultrasound. The fetal position is LOA. The midwife should not:
  1. Place the Doppler probe on the left side of the client’s abdomen, just below the belly button.
  2. Apply generous amounts of ultrasound gel to the client’s abdomen and to the face of the probe.
  3. Palpate the client’s carotid pulse before auscultating the fetal heart tone.
  4. Simultaneously palpate the client’s radial pulse and auscultate the fetal heart tone.
Explanation
Answer: C - The midwife should simultaneously palpate the client’s radial pulse and auscultate the fetal heart tone. Simultaneous assessment of the client’s radial or carotid pulse and the fetal heart tone makes it easier for the midwife to differentiate the two. The fetal position is LOA, so the midwife should place the Doppler probe on the left side of the client’s abdomen, just below the belly button. The fetal heart tone may be assessed by placing the probe over the fetal back. Generous amounts of ultrasound gel should be applied to the client’s abdomen and to the face of the probe to help the probe glide more easily and pick up the fetal heart tone.
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